Name of Operator Title of training program Prior Approval Number /Date issued (If applicable) Coordinator Name: Coordinator Name Name of operator Title of training Type of submission Initial Submission Amendment FAX: Fax number Type of program Initial Recurrent Other (Specify) Coordinator telephone Number: Phone Number Date submitted DD / MM / YY Instructor Name: Application Instructor Name How the training is to be delivered Classroom Delivery Home Study Computer Based Training (CBT) Other (specify) E-Mail Address: E-mail. Please ensure that Every page is identified with a page number, a date and a revision number. There is a list of effective pages All the applicable training references are inscribed on the column and column C1.1 question number in I of the form. If the topic is not applicable "n/a" should be inscribed. A copy of all audio-visual (transparencies, PowerPoint & movies) is included (if applicable) All student handouts exams, answer sheet, correctors and marking details are included. The passing grade is mentioned. If the program is a Computer Base Training (CBT), submit either the scenario or a copy of the computer program. If the program is a Home Study, submit the form use by the trainee to attest that he/she has completed the training. A grey highlighted box in the table means that a category of personnel does not require that area training should be detail appropriate with training material Provide login and password for inspector. For Date 17 FEB 2017 Issue 00 Page 1 of 12
1.0 General Philosophy 1.1 General applicability (ICAO TI 1;1) 1.2 Reference to specific dangerous goods accidents (ICAO TI 7;4.2 IATA 1.4.2) 1.3 References to law and source documents (ICAO TI 7;4.2 IATA 1.4.2) 1.4 Definition of Dangerous Goods (ICAO TI 1;3.1 IATA 1.0) 1.5 State and Operator Variations (ICAO TI Attachments 3; 1,2 IATA 2.8) 1.6 Unit of Measurements (ICAO TI 1;3.2 IATA APP B.1) 2.0 Limitation of Dangerous Goods on Aircraft 2.1 Dangerous goods Forbidden for Transport by Air under any circumstances (ICAO TI 1;2.1 IATA 2.1.1) 2.2 Medical aid for patients. (ICAO TI 1; 1.1.5.1 a, 1.1.5.2, 1.1.5.4) (IATA 1.2.7.1(a), 1.2.7.2, 1.2.7.4) 2.3 Veterinary aid for animals. (ICAO TI 1; 1.1.5.1 b, 1.1.5.2, 1.1.5.4) (IATA 1.72.7.1(b), 1.2.7.2, 1.2.7.4) 2.4 Excess baggage being sent as cargo (ICAO TI 1; 1.1.5.1 g IATA 1.2.7.1g) 2.5 Exceptions for Dangerous Goods of the Operator (ICAO TI 1;2.2 IATA 1.2.7, 2.5) 2.6 Transport of Dangerous Goods by Post (ICAO TI 1;2.3 IATA 2.4) Date 17 FEB 2017 Issue 00 Page 2 of 12
2.7 Dangerous Goods in Excepted Quantities (ICAO TI 1;2.4 IATA 2.6) 2.8 Dangerous Goods in Limited Quantities (ICAO TI 1;2.5 IATA 2.7) 2.9 Need for approval to carry dangerous goods.(icao TI 1: 1.1.2, 2.2.2, 4.1.2 IATA 1.2.5.1, 2.5.2.1, 1.5.1.2) 3.0 General Requirements for shippers 3.1 General (ICAO TI 5;1.1 IATA 1.3.2) 3.2 General provision for Class 7 (ICAO TI 5;1.2) 3.3 Information to employees (ICAO TI 5;1.3 IATA 1.3.2(a)) 3.4 Training (ICAO TI 5;1.4 IATA 1.5) 3.5 Salvage packaging (ICAO TI 5;1.5 IATA 5.0.1.6) 3.6 Empty packaging (ICAO TI 5;1.6 IATA 5.0.2.13.5) 3.7 Mixed packing (ICAO TI 5;1.7 IATA 5.0.2.11) 4.0 Classification 4.1 Classes and divisions (ICAO TI, Part 2, Introductory Chapter, point 2 IATA 3.0.1, 3.1.3) 4.2 Complete List of Classes, divisions and definitions (ICAO TI 2;1 to 2;9 IATA 3.1-3.9) 4.3 Packing Groups (ICAO TI Part 2, Introductory Chapter, point 2.4 IATA3.0.3) 4.4 Classification of Substances and Articles with Multiple Hazards Date 17 FEB 2017 Issue 00 Page 3 of 12
(ICAO TI Part 2, Introductory Chapter, point 4 and table 2-1 IATA 3.10, Table 3.10.A) 4.5 Transport of samples (ICAO TI Part 2, Introductory Chapter 5 IATA 3.11) 5.0 List of Dangerous Goods 5.1 Arrangement of the Dangerous Goods List (ICAO TI 3;2.1 and Table 3-1 IATA 4.0.2, TABLE 4.2) 5.2 UN Numbers and Proper shipping name (ICAO TI Part 2, Introductory Chapter, point 3 IATA 3.11.1, 3.11.2, 4.0.1, 4.1) 5.3 Method of using the Dangerous Goods List for articles or substances specifically listed by name (ICAO TI 3;1.1.2 IATA 4.0.2.1) 5.4 Mixtures and solution containing one or more dangerous substances (ICAO TI 3;1.3 IATA 4.1.0, 4.1.3.1) 5.5 Forbidden dangerous goods entries in the Dangerous Goods List (ICAO TI 3;2.1.1 and Note 1 IATA 4.1.2) 5.6 Special provision entries in the Dangerous Goods List (ICAO TI 3;3 and Table 3-2 IATA 4.4) 5.7 Quantity Limitations for types of aircraft (ICAO TI 3;2.1 IATA 4.1.6.10, 4.1.6.12) 5.8 Dangerous goods in limited quantities (ICAO TI 3;4 IATA 2.7, 4.1.5) 5.9 Dangerous goods packed in excepted quantity (ICAO 3;5 IATA 2.6) Date 17 FEB 2017 Issue 00 Page 4 of 12
6.0 Packing requirements 6.1 General packing requirements (ICAO TI 4;1 and 4;2 IATA 5.0.1.2, 5.0.2, 5.0.2.4) 6.2 Types of packaging (IATA5.0.2.6.2, 5.0.2.12) 6.3 Marking of packaging other than inner packaging (ICAO TI 5;2 and 6;2 IATA 6.0.4, 7.1) 6.4 Different substances packed together (ICAO TI 4;1.1.7 and 4;1.1.8 IATA 5.0.2.11) 6.5 Overpacks (ICAO TI 1;3.1 and 5;1.1 IATA 5.0.1.5) 6.6 Packing Instructions (ICAO TI 4;3 to 4;11 IATA 5.0.6, 5.1) 6.7 Use of the packing instructions in conjunction with the Dangerous Goods List (ICAO TI 4;2 IATA 5.0.6, 5.1.0, 5.1.1) 7.0 Labelling and marking 7.1 Package markings (ICAO TI 5;2 IATA 7.1) 7.2 Labelling (ICAO TI 5;3 IATA 7.2) 7.3 Marking of Overpacks (ICAO TI 5;2.4.10) 7.4 Handling Labels (ICAO TI 5;3.5.2 IATA 7.2.4) 8.0 Dangerous goods transport document and other relevant documentation Date 17 FEB 2017 Issue 00 Page 5 of 12
8.1 Dangerous goods transport document (ICAO TI 5;4.1) IATA 8.0.2.1) 8.2 Certification (ICAO TI 5;4.1.6 IATA 8.1.6.12) 8.3 Air Waybill information (ICAO TI 5;4.2 IATA 8.1.6.3) 8.4 Additional documentation for other than radioactive material (ICAO TI 5;4.3 IATA 8.3) 8.5 Retention of Transportation Document (ICAO TI 7; 4.11 IATA 9.8) 9.0 Acceptance Procedure 9.1 General inspection requirements before acceptance (ICAO TI 7;1.1.1 IATA 9.1.1) 9.2 Inspection for documentation, retention of document, marking, labelling, no leakage and integrity is not compromised (ICAO TI 7;1.2 IATA 9.1.2) 9.3 Special Responsibilities Infectious Substances (ICAO TI 7;1.5 IATA 9.1.5) 9.4 Acceptance Checklist (ICAO TI 7;1.3 IATA 9.1.3) 9.5 Cargo Acceptance Procedures (ICAO TI 7;1.1 IATA 9.1.1) 9.6 Undeliverable consignments of radioactive material (ICAO TI 7;1.6) Date 17 FEB 2017 Issue 00 Page 6 of 12
10.0 Recognition of undeclared dangerous goods 10.1 Provision to aid recognition of undeclared dangerous goods (ICAO TI 7;6 IATA 2.2) 10.2 Awareness of consumer warning label, GHS (ICAO 7;4.2, IATA B.4.A) 10.3 Recognised of undeclared dangerous goods through X-ray 11.0 Storage and loading procedures 11.1 Loading restrictions on the flight deck and on passenger aircraft (ICAO TI 7;2.1 IATA 9.3.1) 11.2 Loading of incompatible dangerous goods and segregation (ICAO TI 7;2.2 and Table 7-1 IATA 9.3.2, TABLE 9.3.A) 11.3 Loading of packages containing liquid dangerous goods (ICAO TI 7;2.3 IATA 9.3.3) 11.4 Loading and securing of dangerous goods (ICAO TI 7;2.4 IATA 9.3.5) 11.5 Accessibility of cargo aircraft only package (ICAO TI 7; 2.4.1 IATA 9.3.4) 11.6 Damaged Packages of dangerous goods (ICAO TI 7;2.5 IATA 9.3.6) 11.7 Visibility of marking and labels (ICAO TI 7;2.6 IATA 9.2.2) 11.8 Replacement of labels (ICAO TI 7;2.7 IATA IATA 9.3.7) 11.9 Identification of unit load devices containing dangerous goods (ICAO TI 7;2.8 IATA 9.3.8) Date 17 FEB 2017 Issue 00 Page 7 of 12
11.10 Handling and Loading of Radioactive Material (ICAO TI 7;2.9 IATA 10.9.3) 11.11 Loading of magnetized materials (ICAO TI 7;2.10 IATA 9.3.9) 11.12 Loading of dry ice (ICAO TI 7;2.11 IATA 9.3.10) 11.13 Loading of UN2211, polymeric beads, expandable or UN3314, plastics moulding compound (ICAO TI 7;2.12 IATA 9.3.12) 11.14 Handling of self-reactive substances and organic peroxides (ICAO TI 7;2.13 IATA 9.3.15) 11.15 Handling and loading of intermediate bulk containers (IBCs) (ICAO TI 7;2.14 IATA 9.3.16) 11.16 Inspection for damage or leakage (ICAO TI 7;3.1 IATA 9.3.6, 9.4.1) 11.17 Damaged or leaking packages of radioactive material contaminated packaging (ICAO TI 7;3.2 IATA 10.9.4) 12.0 Pilot s notification 12.1 Information to Pilot-in-Command (ICAO TI 7;4.1 IATA 9.5) 12.2 Accessibility of NOTOC (ICAO TI 7; 4.1.5,4.1.8 IATA 9.5.1.1.8-9) 13.0 Provisions for passengers and crew 13.1 Information to passengers (ICAO TI 7;5.1 IATA 1.4.3, 9.5.2) Date 17 FEB 2017 Issue 00 Page 8 of 12
13.2 Passenger check-in procedures (ICAO TI 7;5.2 IATA 1.4.4) 13.3 List of general descriptions to aid recognition of undeclared dangerous goods (ICAO TI 7;6 IATA 2.2.2-3) 13.4 Dangerous goods carried by passengers or crew (ICAO TI 8;1.1 IATA 2.3) 14.0 Emergency procedures 14.1 Definition of dangerous goods accident and incident (ICAO TI 1;3.1 IATA APP A 14.2 Information by Pilot-in-command in case of In-Flight Emergency (ICAO TI 7;4.3 IATA 9.5.1.3) 14.3 Reporting of dangerous goods accidents and incidents (ICAO TI 7;4.4 IATA 9.6.1) 14.4 Reporting of undeclared or misdeclared dangerous goods (ICAO TI 7;4.5) IATA 9.6.2) 14.5 Reporting of dangerous goods occurrences (ICAO TI 7;4.6 IATA 9.6.4) 14.6 Information by the operator in case of an aircraft accident or incident (ICAO TI 7;4.7 IATA 9.6.3) 14.7 Emergency response information (ICAO TI 7;4.9 IATA 9.5.1.2) Date 17 FEB 2017 Issue 00 Page 9 of 12
Note: The dangerous goods activities of the operator and individual employee(s) will dictate the amount of information needed in the training curriculum and the duration of the training program Declaration and Signature; The information given in this application form is correct to the best of my knowledge and belief. Applicant s Name: Date: Signature: Date 17 FEB 2017 Issue 00 Page 10 of 12
I I Competent official use only Ref Areas of Training s Acceptable Yes No N/A C1 Test to verify understanding C1.1 Do the questions verify understanding of the following aspects?: General Philosophy Limitations General requirement for shipper classification List of Dangerous Goods General packing requirements Labelling and marking Aspect Question number(s) s Dangerous Goods transport document and other relevant documents Acceptance Procedures Recognition of undeclared dangerous goods Storage and loading procedures Pilots notification Provisions for passengers and crew Emergency Procedures C1.2 Duration appropriate to level of questions C1.3 Test conditions Date 17 FEB 2017 Issue 00 Page 11 of 12
I I Competent official use only C FINDINGS Ref Finding Timescale for remedial action Approve Training s: YES NO (for the reasons shown in C) Note Appear to comply with the requirements of the Technical Instructions. INSPECTOR CONDUCTED name signature date Date 17 FEB 2017 Issue 00 Page 12 of 12